Article Per Year (5 Year)
p-Index From 2021 - 2026
0.23
P-Index
This Author published in this journals
All Journal Indonesian Journal of Endocrinology Metabolism and Diabetes (InaJEMD)
Teddy Ervano
Unknown Affiliation
Health Professions Medicine & Pharmacology Public Health

Published : 1 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 1 Documents
Search

 1 
Clinically Non-Functioning Pituitary Incidentaloma Presenting as Recurrent Episodes of Hypoglycemia Nobian Andre; Marco Vidor; James Marcus; Teddy Ervano
‎ InaJEMD - Indonesian Journal of Endocrinology Metabolic and Diabetes Vol. 2 No. 2 (2025): InaJEMD Vol. 2, No. 2
Publisher : PP PERKENI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.66266/inajemd.v2i2.62

Abstract

A pituitary adenoma is a tumor originating from the adenohypophysis. Pituitary adenomas are mostly discovered incidentally during radiological examinations performed for other purposes. Not all pituitary adenomas are functional. Non-functioning adenomas often present with symptoms due to mass effect and pituitary hormone deficiency. This case report presents a case of a 56-year-old man with type 2 diabetes mellitus who had an accidental finding of pituitary macroadenoma without overt hormone hypersecretion symptoms, but experienced recurrent hypoglycemia. Further investigation revealed low cortisol and insulin like growth hormone-1 levels, suggesting a Houssay phenomenon that leads to ‘resolution’ of diabetes due to hypopituitarism. Even in patients without overt symptoms of hormone hypersecretion, the possibility of subtle hypopituitarism due to tumor-induced pituitary dysfunction should not be overlooked. Patients with pituitary adenomas require evaluation by a multidisciplinary team involving endocrinology, neurosurgery, and ophthalmology.
Co-Authors James Marcus Marco Vidor Nobian Andre